Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 14984 | Date 26/10/2026 |
| Token No | SM/25-26/6064 26/10/2026 | Serial | 014 |
| Patient Name | Mr. SUBHAM YADAV | Contact No | 8777381026 |
| Address | 86/C/5 DEY STREET | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||